Hm. Lyon et al., THE DEFENSIVE FUNCTION OF PERSECUTORY DELUSIONS EVIDENCE FROM ATTRIBUTION TASKS, British Journal of Psychiatry, 164, 1994, pp. 637-646
Abnormalities of 'social' reasoning were investigated in patients suff
ering from persecutory delusions and in matched depressed and normal c
ontrols using transparent (obvious) and opaque (unobvious) tests of at
tributional style. Whereas depressed and normal subjects yielded simil
ar causal inferences for both attributional measures, the deluded subj
ects showed a marked shift in internality, attributing negative outcom
es to external causes on the transparent Attributional Style Questionn
aire but, on the more opaque Pragmatic Inference Task, attributing neg
ative outcomes to internal causes and thus showing a cognitive style r
esembling that of the depressed group. This finding, interpreted in te
rms of explicit versus implicit judgements, supports the hypothesis th
at delusions function as a defence against underlying feelings of low
self-esteem.